Individual
MRS. DORIS A LONGALONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1640 DEMARET LN, COLUMBUS, OH 43228-7007
(614) 351-5107
(614) 351-5107
Mailing address
1640 DEMARET LN, COLUMBUS, OH 43228-7007
(614) 351-5107
(614) 351-5107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
305686
OH
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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